PMWC Speaker Submission Form

PMWC 2025 Silicon Valley Speaker Submission Form

We look forward to your participation at PMWC Silicon Valley on February 5-7, 2025! Venue: Santa Clara Convention Center, 5001 Great America Pkwy, Santa Clara, CA 95054
Not Sent Speaker Guidelines
Slides Submitted? PPT
Date Sent Speaker Guidelines
Speaker ID - Website
Cal Invite Link
Link to speaker's calendar invite generated by aviv code -linode via code for this taking data from speaker scrips code
Session Format
Not Confirmed Speaker?
Ticket URL for MixMaxSequence
We register 50 tickets at a time 100% off in admin@PMWCintl.com and copy the ticket links for each and add that as a value in the sequence to provide speaker ticket details. We use mixmax sequences as of 11-7-21 (Tomer writing) and export speakers from here see Tal sequences "PMWC 2022 Silicon Valley : Speaker Guidelines Part 1 11/3/21"
Who's Pass
Precheck: Go to www.PMWCintl.com/ticketcenter search first by last name, then first name, then nickname, then email address to see if you can get a hit for this speaker in which if its the same person copy the ticket url and paste in the field "Ticket URL for MixMaxSequence" on jotforms. Free pass: Generate a new ticket and issue if not already issued. Sponsor's pass / Showcase's pass: a.This maybe someone from academia who is invited by a sponsor or someone in a sponsored session, don't issue ticket unless you are sure. b. See on monday.com or ticketcenter(search their email domains or assistant names have unfilled passes and use fill out of those (if unclear ask Tomer). If monday says 0/x passes and cant find on ticketcenter then issue pass and increase on monday to 1/x if issued one ticket and 4/x if issued 4 tickets. DON'T ISSUE PASS (NOT PAID) this person isnt confirmed, check in with Tomer,aviv,tal to see if this has changes it may have been left like this on accident
Add Categories-Chair,etc

Session ChairTrack ChairLuminary AwardPioneer AwardAsk Tomer for More optionsOther
Website Forms
Joseph Add to Website.
Notes for Joseph to Update
Ticket Issued? (Y/N)
Speaker Photo URL -for Aviv
Company Photo URL -for Aviv
NOTES v2
You are presenting in:*
Track # (if discussed with Program Committee)*

Track 1 (T1)- Emerging Therapeutics (Gene & Cell Therapies in Rare Diseases, Gene Modified Cell Therapies, PGx)Track 2 (T2)- AI & Data Sciences (in Clinical Applications, RWE, in Drug Discovery & Clinical Research)Track 3 (T3)- Dx & Molecular Profiling in the Clinic (Oncology Applications, Women's Health, Infectious Disease, Microbiome)Track 4 (T4)- Emerging Technologies (New Frontiers in Precision Medicine, Clinical Utility of Liquid Biopsy, Sequencing)Showcase Track 1 (S1)Showcase Track 2 (S2)
Track Name for the Program
Session Name (If Indicated in your speaker invite Email or Discussed with PMWC)
For Aviv code to replace with session name but keep the main track/session url
Session Description for Chair only
Copy Speaker Details to this Speaker
Type of Showcase*

AI and Data SciencesClinical Dx/Oncology (including Liquid Biopsy)Clinical Dx/Cardio VascularClinical Dx/Neonatal & Pediatric Critical Care Whole Genome & Exome SequencingClinical Dx/NeurodegenerativeClinical Dx/ Women's HealthClinical & Research ToolsCOVID-19 Data AnalyticsCOVID-19 TestingDigital HealthEmerging Therapeutics/Cell TherapyEmerging Therapeutics/COVID-19Emerging Therapeutics/CVDEmerging Therapeutics/Gene TherapyEmerging Therapeutics/ImmunotherapyEmerging Therapeutics/Radiation TherapyGenomic ProfilingHealth MonitoringLarge-scale Data SolutionsMicrobial ProfilingNon-Clinical ServicesPharmacogenomicsSequencing TechnologiesSpatial / Multi-Omics SolutionsWellness & AgingNCI Showcase (if coordinated via NCI)Illumina AcceleratorStanford Healthcare Innovation Lab
Speaker First Name*
Speaker Last Name*
Speaker Email*
example@example.com
Speaker Cell Phone Number*
Speaker Office Phone Number*
SPEAKER'S Professional Degrees (do not include Bachelor or Master degrees)

M.D.Ph.D.PHARMDOther
SPEAKER'S Job Title*
Speaker Company/Institution Name*
SPEAKER’S BIO -High Level (DO NOT INCLUDE degree, job title, 150-Word Max) *

150-Word Maximum. Please start with describing mainly current focus/role followed by brief bio history. The Speaker's academic degree(s), title, and company will be displayed directly above this speaker bio, so please do not include it in the bio0/153
SPEAKER PHOTO - Color, forward-facing headshot on face and upper shoulders, SQUARE 1:1 Aspect ratio - Minimum resolution: 300 dpi *

Browse Files

Cancelof
COMPANY/INSTITUTION LOGO - high resolution (minimum 300 dpi and transparent / white background) *

Browse Files

Cancelof
Assistant/Secondary Contact Full Name*
Assistant/Secondary Contact Email*
If you dont have an assistant put your information again
Assistant/Secondary Primary Phone Number*
Additional Emails to be CC'd (1@pmwcintl.com, 2@pmwcintl.com, ...)
email 1, email 2, email 3, ...
Name of Communication / Social Media Contact Person - to coordinate promotion of your talk/session*

First NameLast Name
Email of Communication / Social Media Contact Person*
Not Sent Partnership email, sequence 23sv: https://app.mixmax.com/dashboard/sequences/62d1fdd5b8c1e86926bf38d2/stages
(Optional) Name of Marketing Contact Person, to coordinate exhibition or discounted tickets for your coworkers

First NameLast Name
(Optional) Email of Marketing Contact Person
Not Sent Exhibit email to marketing contact aviv sequence 23sv: https://app.mixmax.com/dashboard/sequences/62d1e6fd7918e335548c3ef1/stages
Talk Title/Synopsis

This should be coordinated with your session chair or Tal Behar. We reserve the right to cut any title or description over the word limit. PMWC Audience breakdown: https://www.pmwcintl.com/audience/
TALK TITLE: 7-word maximum*

Audience breakdown: https://www.pmwcintl.com/audience/0/9
TALK SYNOPSIS: 50-word maximum*

0/55
Showcase Fields
Company Description (1-2 sentence max)*

45 Words Max0/45
Company Website*
(Optional) COMPANY/INSTITUTION Twitter @ (ex. @PMWCintl )
(Optional) SPEAKER Twitter @ (ex. @PMWCintl )
(Optional) COMPANY/INSTITUTION Linkedin Page URL
(Optional) SPEAKER Linkedin Page URL
Speaker Agreement & Consent

I hereby agree to actively communicate with the PMWC Team and will do everything possible to ensure I will be there for my role at PMWC. In the highly unlikely case I am not able to fill my role, I agree to promptly find a suitable replacement speaker for the already agreed topic/role and to notify the PMWC team immediately.

Furthermore, I grant my consent to PMWC LLC for my participation in the conference, including talks, panel discussions, fireside chats, or any other role assigned to me. This consent encompasses the use of my name, biography, talk/panel/chair’s title and description in conference marketing materials, the filming and photographing of my participation, and the distribution of my slides (in PDF format without speaker notes) and video recording by PMWC.
Speaker Agreement & Consent*

I AGREE AND CONSENT TO ALL OF THE ABOVE
EXCEPT:

DO NOT DISTRIBUTE MY PRESENTATION SLIDES (Converted to PDF FORMAT)
DO NOT DISTRIBUTE MY TALK VIDEO (INCLUDES PROJECTED SLIDES)
90%+ of speakers Consent and DO NOT CHECK the above boxes

In providing this consent, I confirm that I have read and understand the written
information given by PMWC.
Time-length

:HourMinutes
Until
until :HourMinutes
Day of Talk/Session
Signature*

Clear
Click and Drag Your Mouse to Sign
Should be Empty:

PMWC 2025 Silicon Valley Speaker Submission Form

Talk Title/Synopsis

Showcase Fields